Liabilities / Assets
89th percentile
Higher debt load relative to assets than 89% of similar nonprofits.
EIN 54-0551711 • 501(c)3 • South Hill, VA
Profile
To provide excellence in the delivery of healthcare.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
89th percentile
Higher debt load relative to assets than 89% of similar nonprofits.
Liabilities / Revenue
91st percentile
Higher debt load relative to revenue than 91% of similar nonprofits.
Net Margin
7th percentile
Higher net margin than 7% of similar nonprofits.
Top Officer Pay
55th percentile
Higher top officer pay than 55% of similar nonprofits.
Top officer pay equals 0.6% of source-year revenue.
Asset Growth
94th percentile
Faster asset growth than 94% of similar nonprofits.
Revenue Growth
73rd percentile
Faster revenue growth than 73% of similar nonprofits.
Assets
Up$582,687,715
Up $153,820,249 (+36%) from 2022
Liabilities
Up$564,364,596
Up $193,944,553 (+52%) from 2022
Net Assets
Down$18,323,119
Down $40,124,304 (-69%) from 2022
Revenue
Up$148,968,875
Up $20,345,495 (+16%) from 2022
Expenses
Up$189,106,009
Up $15,468,050 (+8.9%) from 2022
Net Income
Up-$40,137,134
Up $4,877,445 (+11%) from 2022
Most recent year
2023 • Form 990Summary only. Only limited summary data is available for this year.
The latest 2023 filing currently has summary financial data only. Showing the latest detailed filing from 2021 below.
To provide excellence in the delivery of healthcare.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $109,148,054 | $101,821,806 | ▼ $7,326,248 |
| Investments in Publicly Traded Securities | $14,817,463 | $18,340,824 | ▲ $3,523,361 |
| Accounts Receivable | $20,683,834 | $16,092,882 | ▼ $4,590,952 |
| Savings and Temporary Cash Investments | $10,683,403 | $12,597,566 | ▲ $1,914,163 |
| Inventories for Sale or Use | $2,040,702 | $2,412,920 | ▲ $372,218 |
| Investments Program Related | $1,411,024 | - | - |
| Prepaid Expenses and Deferred Charges | $504,318 | $416,198 | ▼ $88,120 |
| Cash and Non-Interest-Bearing Accounts | $5,115 | $3,405 | ▼ $1,710 |
| Total Assets | $244,960,734 | $262,351,261 | ▲ $17,390,527 |
| Other Assets Total | $85,666,821 | $110,665,660 | ▲ $24,998,839 |
| Liabilities | |||
| Other Liabilities | $30,124,143 | $63,859,693 | ▲ $33,735,550 |
| Mortgage Notes Payable Secured by Investment Property | $70,027,263 | $61,850,670 | ▼ $8,176,593 |
| Accounts Payable and Accrued Expenses | $26,373,620 | $30,506,073 | ▲ $4,132,453 |
| Total Liabilities | $126,525,026 | $156,216,436 | ▲ $29,691,410 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $118,435,708 | $106,134,825 | ▼ $12,300,883 |
| Total Net Assets Fund Balance | $118,435,708 | $106,134,825 | ▼ $12,300,883 |
| Total Liabilities and Net Assets / Fund Balance | $244,960,734 | $262,351,261 | ▲ $17,390,527 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $79,417,382 | $45,924,810 | $125,342,192 |
| Equipment | $19,723,573 | $34,654,287 | $54,377,860 |
| Other Land Buildings | $1,067,335 | $1,581,391 | $2,648,726 |
| Land | $1,613,516 | - | $1,613,516 |
| Other Assets Org | $14,663,202 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Nimesh Patel Md | Physician | FT | $473,168 | $122,876 | $596,044 |
| Ravi Edara Md | Physician | FT | $261,585 | $318,911 | $580,496 |
| Mohammad Mojadidi Md | Physician | FT | $400,406 | $170,998 | $571,404 |
| Ramesh Seeras Md | Physician | FT | $361,991 | $199,054 | $561,045 |
| Saleem Naviwala Md | Physician | FT | $441,327 | $117,121 | $558,448 |
| W Scott Burnette | President | FT | $376,197 | $154,587 | $530,784 |
| Name | Title |
|---|---|
| Cindy H Pecht | Board Member/chair |
| William E Wells Jr | Board Member/vice Chair |
| Catherine Palmer Md Start 721 | Board Member |
| Cecil Shell | Board Member |
| Clint Clary | Board Member |
| David Chelmow Md | Board Member |
| Don Bright | Board Member |
| Kendele Underwood | Board Member |
| Melinda Hancock | Board Member |
| Mike Rowe | Board Member |
| Ralph Clark Md End 621 | Board Member |
| Thomas Yackel Md | Board Member |
| William Wilkinson | Board Member |
| Jay Stafford Start 721 | Board Member/treasurer |
| Deborah Davis | Former Board Member |
| John Ward Md | Former Board Member |
| Kenneth Libby Jr | Former Officer |
| Paul Neimeyer | Secretary |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Supplemental Health Care | Rn Services | 1640 W REDSTONE CENTER DRIVE, Park City, UT 84098 | $5,910,068 |
| Mcv Physicians Pb79203 | Physician Services | BOX 980510, Richmond, VA 23298 | $4,181,271 |
| Medicus Hospitalists LLC | Hospitalists | 22 ROULSTON RD, Winham, NH 03087 | $3,333,656 |
| Avant Healthcare Profession | Medical Professionals | 1211 STATE ROAD 436 SUITE 227, Casselberry, FL 32707 | $3,010,337 |
| Vcu Health System Dba Mcv | Medical Services | BOX 980620, Richmond, VA 23298 | $2,131,585 |
| Line Item | Amount |
|---|---|
| Other Expenses | $97,285,897 |
| Salaries, Compensation, and Employee Benefits | $70,608,577 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $47,327,237 | $7,321,512 | - | $54,648,749 |
| Fees for Services Other | $20,988,269 | $169,465 | - | $21,157,734 |
| Other Employee Benefits | $7,261,726 | $1,515,335 | - | $8,777,061 |
| Depreciation Depletion | $8,101,134 | $394,473 | - | $8,495,607 |
| All Other Expenses | $4,778,991 | $478,770 | - | $5,257,761 |
| Other Expenses | $3,754,167 | $72,368 | - | $3,826,535 |
| Office Expenses | $2,378,618 | $1,315,053 | - | $3,693,671 |
| Payroll Taxes | $3,131,670 | $491,824 | - | $3,623,494 |
| Fees for Services Management | $2,972,554 | $178,525 | - | $3,151,079 |
| Pension Plan Contributions | $2,600,624 | $427,866 | - | $3,028,490 |
| Interest | $2,374,384 | - | - | $2,374,384 |
| Occupancy | $1,360,774 | - | - | $1,360,774 |
| Insurance | $48,917 | $1,255,039 | - | $1,303,956 |
| Current Officers, Directors, Trustees, and Key Employees | $458,491 | $72,292 | - | $530,783 |
| Advertising | $185 | $83,244 | - | $83,429 |
| Travel | $76,144 | $2,841 | - | $78,985 |
| Fees for Service Investment Mgmnt Fees | - | $67,716 | - | $67,716 |
| Conferences and Meetings | $58,454 | $6,939 | - | $65,393 |
| Royalties | $4,944 | - | - | $4,944 |
| Fees for Services Lobbying | - | $1,945 | - | $1,945 |
| Information Technology | - | $1,915 | - | $1,915 |
| Fees for Services Legal | $500 | $456 | - | $956 |
| Total Functional Expenses | $151,753,780 | $16,140,694 | $0 | $167,894,474 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Due to Affiliates | $63,859,693 |
“The sole member of community memorial hospital ("hospital") shall be the virginia commonwealth university health system authority, a public body corporate and political subdivision of the commonwealth of virginia. The member shall have the rights reserved to it as set forth in the articles of incorporation and the bylaws of the hospital.”
“The sole member of community memorial hospital ("hospital") shall be the virginia commonwealth university health system authority, a public body corporate and political subdivision of the commonwealth of virginia. The member shall have the rights reserved to it as set forth in the articles of incorporation and the bylaws of the hospital.”
“Governance decisions reserved to members the reserved powers of the sole member, virginia commonwealth university health system authority ("vcuhsa"), include the approval of the following matters: (1) any amendment or restatement of the articles of incorporation, bylaws or other governing documents of the hospital or its affiliates, including any change to the name of the hospital, its affiliates or any facilities operated by the hospital or its affiliates;(2) appointment of any directors, managers or other governing persons of the hospital or its affiliates; (3) the annual operating and capital budgets the hospital or its affiliates (to the extent separately approved from the hospital's budgets); (4) any transaction, or series of transactions in any fiscal year, involving capital expenditures or contractual commitments by the hospital or its affiliates not previously specified in a budget approved by the member in an amount exceeding $500,000; (5) any transaction, or any series of transactions in any fiscal year, involving the incurrence of debt or the creation of liens or other encumbrances on assets by the hospital or its affiliates, including any mortgages, capital leases, security interests or guarantees, not previously specified in a budget approved by the member in an amount exceeding $500,000; (6) any sale, distribution or other disposition of cash, investments or other assets by the hospital or its affiliates to any third parties, with or without consideration, in an amount exceeding $500,000; (7) any merger, consolidation, dissolution or sale or other disposition of substantially all of the assets of the hospital or any of its affiliates; (8) creation of any subsidiary or affiliated entity, or participation in any joint venture, partnership, limited liability company or similar arrangement, by the hospital or its affiliates; (9)any closure or other significant change to clinical service lines provided by the facilities operated by the hospital or its affiliates;(10) appointment or removal of the chief executive officer, chief financial officer or chief nursing officer of the hospital; and (11) any managed care payor contracting on behalf of the hospital.”
“Process used to review 990 the financial information is provided by vcuhs' finance department to an independent accoutning firm . The firm prepares the form 990 for review. The finance department reviews the form 990 with the appropriate executive director and finance leader of the organization. Upon final review with leadership, the governing body of the organization is provided with a copy of the return prior to filing with the irs.”
“Process to monitor transactions for coi the organization requires its board of directors and officers to sign a conflict of interest policy annually. Board members are responsible for disclosing potential conflicts as they arise. If a conflict of interest arises, the board member in conflict abstains from voting on the matter.”
“Compensation determination the compensation (salaries and incentives) for the officers of community memorial hospital is determined by the ceo of the vcu health system (vcuhs). This is consistent with the requirements established in the bylaws of vcuhs. The ceo of vcuhs uses a third party compensation consulting firm to conduct a market study to determine market position. The ceo of vcuhs may also conduct a 360 degree evaluation of all senior level administrators. These data elements in conjunction with a review of individual performance and the attainment of goals for the year, are the basis for compensation recommendations. The ceo of vcuhs then meets with the compensation committee of the vcuhs board of directors to discuss the matter and present recommendations and receive final approval. The compensation committee may discuss these recommendations in executive session of the vcuhs board of directors.”
“Availability of governing documents & policies community memorial hospital's governing documents, financial statements, and conflict of interest policy are made available to the public upon request.”
“Community memorial hospital (cmh) is a vital component of the southside virginia area, providing quality care to our patients, servicing as a vital part of the safety net and enhancing community health. Our mission is to provide excellence in the delivery of healthcare. We are led by a volunteer 14 member board of directors. Cmh is designated as a sole community hospital by medicare which means that we are located in a rural area and 35 miles from other hospitals. We are also designated a disproportionate share hospital by medicare which means that we provide care to a higher level of low-income individuals. Our primary service area of mecklenburg county ranks below the state average in per capita income and above the state average in estimated total population in poverty percentage. We offer a full spectrum of services to the community including in-patient acute care, post-acute, and long-term care, out-patient services, home health and hospice. Our emergency department sees patients regardless of their ability to pay. We offer financial assistance to our uninsured patients. Uninsured patients qualifying with income below the federal poverty level are offered free care. Uninsured patients with family income up to 300% of the federal poverty level are offered sliding scale discounts. Information about our financial assistance program is posted on our website, posted in all registration waiting areas, provided to uninsured patients at registration and included as a note on all statements sent to uninsured patients. We employ a financial specialist whose responsibility is to assist uninsured patients with our financial assistance programs as well as to assist the patients with applying and qualifying for other coverage such as disability or medicaid. With the help of several grants, cmh has been able to offer free mammograms and breast exams to underserved women in the area. As the grants do not cover total program expenses, cmh must supplement the costs to provide these services to the community. As a not for profit organization, any surplus funds go back into the operation of the hospital to maintain the facility and update equipment and technology. Cmh also belongs to and supports 8 chambers of commerce and participates in their community events. Our involvement helps support community growth and we share many health related event notices at these meetings. We also support many of their special events and locate wellness and screening booths there. Hospitals play a critical role in their community. As major employers and purchasers, hospitals are engines of economic growth and stability. A strong community hospital helps to recruit business and industry to the area and helps attract and retain college graduates and skilled craftsmen. Cmh is the largest single employer in the area providing jobs at a wide range of skill levels from over 12 virginia and north carolina localities. Cmh and our employees purchase goods and services locally, creating income and jobs for other businesses in the community. By participating on the town revitalization committee, cmh has been able to provide support to efforts to modernize the town in order to make it more attractive to new businesses. By providing jobs in the region, residents have a better opportunity to receive preventative care through their health insurance programs. The community is also invested in community memorial hospital. Volunteers are a vital part of our health care team, governance and fundraising. The men and women of our auxiliary volunteer thousands of hours each year and provide a wide range of services to strengthen our hospital and enhance the quality of care for patients and families. The community also supports the operation of cmh by support of the cmh foundation. The cmh foundation is also led by a volunteer board of directors and aims to raise funds to allow our hospital to offer the best possible care and maintain state-of-the-art facilities and technologies t”
“Clinical services: program service expenses 1,670,802. Management and general expenses 158,055. Fundraising expenses 0. Total expenses 1,828,857. Architectural services: program service expenses 0. Management and general expenses 5,190. Fundraising expenses 0. Total expenses 5,190. Contract clinical services: program service expenses 14,132,768. Management and general expenses 2,970. Fundraising expenses 0. Total expenses 14,135,738. Physician services: program service expenses 4,523,063. Management and general expenses 3,250. Fundraising expenses 0. Total expenses 4,526,313. Other nonphysician services: program service expenses 661,636. Management and general expenses 0. Fundraising expenses 0. Total expenses 661,636.”
“The authority is exempt from federal and state income taxes because it is a political subdivision of the commonwealth of virginia. Mcvap, cmh, children's, vccn, tapp, and uhs are exempt from federal income taxes on related income under section 501(c)(3) of the internal revenue code (the code). Accordingly, no provision for income taxes has been made in the accompanying financial statements.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | 0 |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 26373620 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 30506073 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 20683834 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 16092882 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | TO PROVIDE EXCELLENCE IN THE DELIVERY OF HEALTHCARE. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 83244 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 185 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 83429 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 478770 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 4778991 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 5257761 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/AuditedFinancialStmtAttInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | MIN CUMMINGS |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 8048270545 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | PO BOX 980152 |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | RICHMOND |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | VA |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 23298 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 5115 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 3405 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 35 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 72292 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 458491 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 530783 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 0 |
| IRS990/CompensationProcessOtherInd | 0 | 0 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 6939 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 58454 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 65393 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 5910068 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 4181271 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 3333656 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 3010337 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 2131585 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 1640 W REDSTONE CENTER DRIVE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | BOX 980510 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 22 ROULSTON RD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 1211 STATE ROAD 436 SUITE 227 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | BOX 980620 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | PARK CITY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | RICHMOND |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | WINHAM |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | CASSELBERRY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | RICHMOND |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | UT |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | VA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | NH |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | FL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | VA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 84098 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 23298 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 03087 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 32707 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 23298 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | SUPPLEMENTAL HEALTH CARE |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | MCV PHYSICIANS PB79203 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | MEDICUS HOSPITALISTS LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | AVANT HEALTHCARE PROFESSION |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | VCU HEALTH SYSTEM DBA MCV |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | RN SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | PHYSICIAN SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | HOSPITALISTS |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | MEDICAL PROFESSIONALS |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | MEDICAL SERVICES |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 10843669 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 633057 |
| IRS990/CYOtherExpensesAmt | 0 | 97285897 |
| IRS990/CYOtherRevenueAmt | 0 | 227657 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 140028755 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -16161336 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 70608577 |
| IRS990/CYTotalExpensesAmt | 0 | 167894474 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 151733138 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 394473 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 8101134 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 8495607 |
| IRS990/Desc | 0 | SEE SCHEDULE O |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 1 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 1033 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 79913195 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditPerformedInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 1 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 456 |
| IRS990/FeesForServicesLegalGrp/ProgramServicesAmt | 0 | 500 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 956 |
| IRS990/FeesForServicesLobbyingGrp/ManagementAndGeneralAmt | 0 | 1945 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 1945 |
| IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt | 0 | 178525 |
| IRS990/FeesForServicesManagementGrp/ProgramServicesAmt | 0 | 2972554 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 3151079 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 169465 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 20988269 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 21157734 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 67716 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 67716 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 22 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 23 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 12 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 13 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 26176 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 35144 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 47084 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 32576 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 63959 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 39370 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 58280 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 56620 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 57506 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 48538 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 52144 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 43994 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 49724 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 56854 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 20790 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | CATHERINE PALMER MD START 721 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | CECIL SHELL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | CINDY H PECHT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | CLINT CLARY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | DAVID CHELMOW MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | DON BRIGHT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | JAY STAFFORD START 721 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | KENDELE UNDERWOOD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | MELINDA HANCOCK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | RALPH CLARK MD END 621 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | THOMAS YACKEL MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | WILLIAM E WELLS JR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | WILLIAM WILKINSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | MIKE ROWE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | PAUL NEIMEYER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | W SCOTT BURNETTE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | MOHAMMAD MOJADIDI MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | NIMESH PATEL MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | RAMESH SEERAS MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | RAVI EDARA MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | SALEEM NAVIWALA MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | DEBORAH DAVIS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | JOHN WARD MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | KENNETH LIBBY JR |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 472504 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 514784 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 538538 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 512507 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 528352 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 514454 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 231134 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 615840 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 846957 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 715904 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 607459 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 654004 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 776393 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 541324 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 23 | 244084 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | BOARD MEMBER/CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | BOARD MEMBER/TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | BOARD MEMBER/VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | FORMER BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | FORMER BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | FORMER OFFICER |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/Form990TFiledInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1954 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 1 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 145578 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 193238 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 14 |
| IRS990/GovernmentGrantsAmt | 0 | 7532522 |
| IRS990/GrantAmt | 0 | 0 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 145578 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 193238 |
| IRS990/GrossReceiptsAmt | 0 | 151733138 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 14575 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 8 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 79 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 1915 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 1915 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 1255039 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 48917 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 1303956 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 2374384 |
| IRS990/InterestGrp/TotalAmt | 0 | 2374384 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 2040702 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 2412920 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 294241 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 294241 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 1411024 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 14817463 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 18340824 |
| IRS990/IRPDocumentCnt | 0 | 86 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 82160488 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 109148054 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 101821806 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 183982294 |
| IRS990/LegalDomicileStateCd | 0 | VA |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 0 |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 0 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 0 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MiscellaneousRevenueGrp/ExclusionAmt | 0 | 11352 |
| IRS990/MiscellaneousRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 132427 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 143779 |
| IRS990/MissionDesc | 0 | TO PROVIDE EXCELLENCE IN THE DELIVERY OF HEALTHCARE. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 70027263 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 61850670 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 118435708 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 106134825 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 338816 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 338816 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 14575 |
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